Provider Demographics
NPI:1083041412
Name:BERG, APRIL ANNE (DC)
Entity Type:Individual
Prefix:DR
First Name:APRIL
Middle Name:ANNE
Last Name:BERG
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1906 KNOB CREEK RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37604-3097
Mailing Address - Country:US
Mailing Address - Phone:423-282-5223
Mailing Address - Fax:
Practice Address - Street 1:1906 KNOB CREEK RD
Practice Address - Street 2:SUITE 1
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37604-3097
Practice Address - Country:US
Practice Address - Phone:423-282-5223
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-30
Last Update Date:2013-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2713111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor